Lumps in the hand

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Ian Grant

common lumps in the hand

Health & Medicine

Lumps in the hand
Ian Grant
Consultant in plastic / reconstructive surgery,
and surgery of the hand
26/09/2015
Spire Lea Hospital

May 2015 June 2015 September 2015
Myxoid cysts

Myxoid cyst
• Benign
• 5th and 6th decade
• Reassurance – association with early OA
• Surgery – for cosmesis – hand surgeon

Nail fold
EponychiumHyponychium
GerminalSterile
Dorsal roof
Ventral floor
Extensor
Flexor

Glomus tumour
• Benign vascular tumour
• 4th and 5th decades
• Pain at night
• Ultrasound – MRI
• Surgery – hand surgeon

Pyogenic granuloma –
but consider possibility of melanoma

Ganglion
Benign synovial swelling
Can be associated with joint instability
Needle aspiration – only serves diagnosis
58% resolve at 6 years
Referral – cosmesis – hand surgeon
Differential – nerve sheath tumour, synovitis,
lipoma

Neurolemmoma - schwannoma
• Benign
• 2nd 3rd 4th 5th decades
• Lump
• Neuropathy
• USS – refer to hand surgeon – expertise in
peripheral nerve surgery

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